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1588788483
THADDEUS WICKI
PERRIS, CA
NPI
1588788483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CA MFC 42602)
Enumeration Date
2007-03-17
Last Update Date
2007-07-08
Business Address
Mr. THADDEUS WICKI LMFT
1688 N PERRIS BLVD SUITE L-10
PERRIS, CA 92571-4709
Phone number: 951-443-2200
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Mailing Address
Mr. THADDEUS WICKI LMFT
12168 MOUNT VERNON AVE APT 58
GRAND TERRACE, CA 92313-5543
Phone number: 909-783-6796
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